Franklin Memorial Hospital
111 Franklin Health Commons, Farmington, ME · MaineHealth · · NPI 1922791417
Published prices by procedure
Cash price is what you pay without insurance. The negotiated range spans the lowest to highest rate this hospital agreed with insurers.
| Procedure | Cash price | Gross charge | Negotiated range | Payers |
|---|---|---|---|---|
| Mayo mgrm acetylcholine receptor binding antibody CPT 86041 | $60.25 | $60.25 | $18.08 – $56.64 | 8 |
| Mayo microsomal antibody liver-kidney CPT 86376 | $156.20 | $156.20 | $14.55 – $146.83 | 8 |
| Mayo mitotane (lysodren) therapeutic drug level CPT 80299 | $203.65 | $203.65 | $18.64 – $191.43 | 8 |
| Mayo molecular pathology procedure level 2 apoe genotype CPT 81401 | $854.90 | $854.90 | $70.91 – $803.61 | 8 |
| Mayo mpl sequence analysis exon 10 CPT 81339 | not published | not published | $105.05 – $388.07 | 6 |
| Mayo muramidase CPT 85549 | not published | not published | $18.75 – $39.29 | 6 |
| Mayo muscle-specific kinase (musk) antibody CPT 86366 | $1,722.50 | $1,722.50 | $18.40 – $1,619.15 | 8 |
| Mayo mycophenolic acid therapeutic drug level CPT 80180 | not published | not published | $18.05 – $37.82 | 6 |
| Mayo myoglobin CPT 83874 | $124.80 | $124.80 | $12.92 – $117.31 | 8 |
| Mayo nickel CPT 83885 | $243.60 | $243.60 | $24.51 – $228.98 | 8 |
| Mayo opatu opiates definitive assay >=1 CPT 80361 | $284.10 | $284.10 | $13.80 – $267.05 | 8 |
| Mayo opatu opioid/analogs definitive assay 1 or 2 CPT 80362 | $187.75 | $187.75 | $13.80 – $176.49 | 8 |
| Mayo opatu oxycodone definitive assay CPT 80365 | $284.10 | $284.10 | $8.25 – $267.05 | 8 |
| Mayo organic acid methylmalonic single quantitative CPT 83921 | $159.30 | $159.30 | $21.21 – $149.74 | 8 |
| Mayo organic acids qualitative each specimen CPT 83919 | $159.30 | $159.30 | $16.45 – $149.74 | 8 |
| Mayo oxalate 24 hour urine CPT 83945 | $104.05 | $104.05 | $14.45 – $97.81 | 8 |
| Mayo pancreatic elastase fecal qualitative or semi quantitative CPT 82656 | not published | not published | $11.53 – $24.16 | 6 |
| Mayo parvs parvovirus b19 antibody igg CPT 86747 | $90.30 | $90.30 | $15.03 – $84.88 | 8 |
| Mayo paval fluorescent antibody screen agna type 1 CPT 86255 | $717.45 | $717.45 | $12.05 – $600.51 | 8 |
| Mayo pborb infectious agent nucleic acid amplified probe borrelia burgdorferi (lyme) CPT 87476 | $252.00 | $252.00 | $35.09 – $236.88 | 8 |
| Mayo phospholipid neutralization hexagonal lupus anticoagulant CPT 85598 | not published | not published | $8.49 – $37.68 | 6 |
| Mayo pntft phenytoin free therapeutic drug level CPT 80186 | $149.60 | $149.60 | $13.76 – $140.62 | 8 |
| Mayo pqnu porphobilinogen urine quantitative 24 hour urine CPT 84110 | $93.35 | $93.35 | $8.44 – $87.75 | 8 |
| Mayo pregnenolone CPT 84140 | $147.35 | $147.35 | $20.67 – $138.51 | 8 |
| Mayo prmb primidone therapeutic drug level CPT 80188 | $38.90 | $38.90 | $11.67 – $36.57 | 8 |
| Mayo proinsulin CPT 84206 | $172.35 | $172.35 | $26.69 – $162.01 | 8 |
| Mayo psaft prostate specific antigen free CPT 84154 | $199.50 | $199.50 | $18.39 – $187.53 | 8 |
| Mayo radioimmunoassay procollagen i intact n-terminal antibody quantitative CPT 83519 | $660.40 | $660.40 | $18.40 – $620.78 | 8 |
| Mayo rbcme osmotic fragility rbc incubated CPT 85557 | $83.55 | $83.55 | $13.36 – $78.54 | 8 |
| Mayo receptor assay transferrin soluble CPT 84238 | not published | not published | $36.57 – $76.59 | 6 |
| Mayo renin CPT 84244 | $175.85 | $175.85 | $21.99 – $165.30 | 8 |
| Mayo repu protein electrophoresis urine CPT 84166 | $195.40 | $195.40 | $17.39 – $163.55 | 8 |
| Mayo selenium CPT 84255 | $242.50 | $242.50 | $25.53 – $227.95 | 8 |
| Mayo semb semen analysis volume/count/motility/differential strict morphologic criteria CPT 89322 | not published | not published | $15.50 – $32.48 | 6 |
| Mayo serotonin CPT 84260 | $295.95 | $295.95 | $30.98 – $278.19 | 8 |
| Mayo sfgp rickettsia rickettsii antibody igg CPT 86757 | not published | not published | $19.35 – $40.55 | 6 |
| Mayo sirolimus therapeutic drug level CPT 80195 | $131.90 | $131.90 | $13.26 – $123.99 | 8 |
| Mayo streptococcus pneumoniae antibody igg 23 serotypes multiplex immunoassay quantitative CPT 86581 | $137.65 | $137.65 | $41.30 – $129.39 | 8 |
| Mayo syphilis test non-treponemal antibody qualitative vdrl CPT 86592 | $54.75 | $54.75 | $4.27 – $51.47 | 8 |
| Mayo tau phosphorylated 217 each CPT 84393 | $518.10 | $518.10 | $155.43 – $487.01 | 8 |
| Mayo tcgr analysis gene rearrangement trb@ abnormal clonal population(s) amplification CPT 81340 | not published | not published | $208.92 – $437.78 | 6 |
| Mayo tgrp testosterone free CPT 84402 | $202.65 | $202.65 | $25.47 – $190.49 | 8 |
| Mayo tgrp testosterone total CPT 84403 | $240.10 | $240.10 | $25.81 – $225.69 | 8 |
| Mayo thiopurine s-methyltransferase CPT 84433 | not published | not published | $12.58 – $46.46 | 6 |
| Mayo thyroglobulin CPT 84432 | $141.30 | $141.30 | $16.06 – $132.82 | 8 |
| Mayo ticks anaplasma phagocytophilum antibody igg CPT 86666 | $72.45 | $72.45 | $10.18 – $68.10 | 8 |
| Mayo ticks babesia microti antibody igg CPT 86753 | $112.70 | $112.70 | $12.39 – $105.94 | 8 |
| Mayo tramadol definitive assay w metabolite quantitative urine CPT 80373 | $130.20 | $130.20 | $11.80 – $122.39 | 8 |
| Mayo ttfb testosterone bioavailable direct CPT 84410 | $291.35 | $291.35 | $51.28 – $273.87 | 8 |
| Mayo tulab francisella tularensis antibody igg CPT 86668 | not published | not published | $14.16 – $29.67 | 6 |
| Mayo valpg valproic acid free therapeutic drug level CPT 80165 | $81.25 | $81.25 | $13.54 – $76.38 | 8 |
| Mayo vasoactive intestinal peptide CPT 84586 | $183.05 | $183.05 | $34.72 – $172.07 | 8 |
| Mayo vitamin b-2 (riboflavin) CPT 84252 | $260.30 | $260.30 | $20.24 – $244.68 | 8 |
| Mayo vitamin b3 (niacin) CPT 84591 | $273.25 | $273.25 | $17.06 – $256.86 | 8 |
| Mayo vitamin k CPT 84597 | $183.45 | $183.45 | $13.72 – $172.44 | 8 |
| Mayo zonisamide therapeutic drug level CPT 80203 | $173.45 | $173.45 | $13.25 – $163.04 | 8 |
| Maze/extensive/w/card/pulm bypass 33259 CPT 33259 | not published | not published | $796.49 – $1,708.05 | 7 |
| Mcoln1 gene CPT 81290 | $280.30 | $280.30 | $39.31 – $263.48 | 8 |
| Mcp joint arthroscopy dx CPT 29900 | not published | not published | $486.53 – $1,059.41 | 7 |
| Mcp joint arthroscopy surg CPT 29901 | not published | not published | $521.81 – $1,133.97 | 7 |
| Mcp joint arthroscopysurg 29902 CPT 29902 | not published | not published | $553.20 – $1,201.06 | 7 |
| Mcrscp xm hair pluck/clipped CPT 96902 | not published | not published | $19.62 – $41.76 | 7 |
| Mdfc flap w/prsrv vasc pedcl CPT 15730 | not published | not published | $881.92 – $2,741.39 | 8 |
| Md inr test revie inter mgmt HCPCS G0250 | not published | not published | $8.64 – $17.62 | 7 |
| Md service required for pmd HCPCS G0372 | not published | not published | $8.60 – $17.62 | 7 |
| Meas lung vol thru 2 yrs CPT 94013 | not published | not published | $18.51 – $37.28 | 7 |
| Measure kidney pressure CPT 50396 | not published | not published | $111.86 – $233.16 | 7 |
| Measurement post void urine by ultrasound CPT 51798 | $233.25 | $233.25 | $9.92 – $195.23 | 8 |
| Measure ureter pressure CPT 50686 | not published | not published | $84.39 – $257.64 | 8 |
| Mecasermin injection HCPCS J2170 | not published | not published | $14.23 – $149.99 | 3 |
| Mech hip extension assist HCPCS L5855 | not published | not published | $292.80 – $776.74 | 3 |
| Mechlorethamine hcl inj HCPCS J9230 | not published | not published | $265.70 – $321.72 | 3 |
| #mec-opiates CPT 80356 | $71.55 | $71.55 | $12.30 – $67.26 | 8 |
| Mecp2 gene dup/delet variant CPT 81304 | not published | not published | $86.35 – $314.32 | 6 |
| Mecp2 gene full seq CPT 81302 | not published | not published | $527.87 – $1,106.12 | 6 |
| Mecp2 gene known variant CPT 81303 | not published | not published | $12.64 – $251.45 | 6 |
| Med genetics&genetic counseling svcs each 30 min CPT 96041 | not published | not published | $105.07 – $105.07 | 1 |
| Medial canthopexy CPT 21280 | not published | not published | $564.03 – $1,202.42 | 7 |
| Mediastinoscpy w/lmph nod bx CPT 39402 | not published | not published | $378.77 – $811.33 | 7 |
| Mediastinoscpy w/medstnl bx 39401 CPT 39401 | not published | not published | $290.04 – $622.22 | 7 |
| Medical services after hrs CPT 99050 | not published | not published | $29.74 – $36.61 | 3 |
| Med physic dos eval rad exps CPT 76145 | not published | not published | $123.77 – $2,002.23 | 7 |
| Medroxyprogesterone 150 mg/ml im injection (wrapper) HCPCS J1050 | not published | not published | $0.54 – $0.78 | 4 |
| Med serv 10pm-8am 24 hr fac CPT 99053 | not published | not published | $34.70 – $36.61 | 2 |
| Med serv eve/wkend/holiday CPT 99051 | not published | not published | $8.51 – $36.61 | 3 |
| Megestrol 20 mg tabs 100 each bottle HCPCS S0179 | not published | not published | $0.20 – $0.67 | 2 |
| Meg evoked each addl CPT 95967 | not published | not published | $178.89 – $344.99 | 7 |
| Meg evoked single CPT 95966 | not published | not published | $204.21 – $399.89 | 7 |
| Meg spontaneous CPT 95965 | not published | not published | $400.73 – $818.79 | 7 |
| Melphalan oral 2 mg HCPCS J8600 | not published | not published | $9.34 – $12.00 | 3 |
| Membrane affinity fresh amniotic 2.5x2.5cm -cost per sq cm HCPCS Q4159 | not published | not published | $305.58 – $520.59 | 7 |
| Membrane amnioband 2x2cm -cost per sq cm HCPCS Q4151 | not published | not published | $132.88 – $283.51 | 7 |
| Membrane amnio clarix 4x3cm 1k -cost per sq cm HCPCS Q4155 | not published | not published | $21.82 – $56.79 | 3 |
| Membrane amniotic barrier 4x4cm-q4163-cost per sq cm HCPCS Q4163 | not published | not published | $129.08 – $360.14 | 7 |
| Membrane collgn porcine maci w/autologous cult chondrocytes HCPCS J7330 | not published | not published | $31,905.54 – $127,119.59 | 3 |
| Membrane placenta tiss biodfence g3 2x2cm-4sqcm-q4116-cost per sq cm HCPCS Q4140 | not published | not published | $339.63 – $379.65 | 3 |
| Membrane placenta tiss enverse sheet 2x3cm-cost per sq cm HCPCS Q4258 | not published | not published | $67.56 – $145.13 | 7 |
| Memoderm/derma/tranz/integup HCPCS Q4126 | not published | not published | $78.34 – $117.70 | 7 |
| Menacwy-tt menb-fhbp vacc im CPT 90623 | not published | not published | $235.24 – $483.52 | 2 |
| Meniscal trnspl knee w/scpe CPT 29868 | not published | not published | $1,598.22 – $3,428.99 | 7 |
A missing value means the hospital did not publish that price — it never means the price is zero. Real bills can add facility fees, supplies and professional fees; see our methodology.